Vp, Patient Financial Services

Responsible for strategic leadership and operational oversight of Patient Financial Services (PFS) across hospital and physician billing. Identifies and articulates strategic direction; collaborates with peer leadership and the SVP of Revenue Cycle to define the plan and KPIs; tracks performance, market trends, and regulatory changes. Oversees claim submission, A/R follow-up, cash and adjustment posting, denial management, and patient collections to optimize A/R days, collection rates, and denial rates. Partners with clinical and executive leaders, leverages analytics to drive process improvement, and implements initiatives to maximize net revenue.

Duties and Responsibilities

* Identify and communicate strategic direction for PFS; align teams across Hospital and Physician Billing.

* Collaborate with Revenue Cycle leadership to design strategic plans and KPIs for the organization.

* Monitor performance, market trends, delivery systems, and legislative initiatives impacting goals.

* Maximize talent and foster a culture aligned to the BILH mission through leadership and development.

* Provide financial planning, monitoring, and execution to support a cost-effective PFS organization.

* Oversee clean claim rate performance to reduce unbilled A/R days.

* Ensure effective claim follow-up to support timely, complete expected payment from payers and patients.

* Approve and oversee insurance cash and adjustment posting for timely, accurate payment posting.

* Analyze qualitative and quantitative metrics to drive continuous improvement initiatives.

* Oversee throughput and performance of onshore/offshore vendor resources; collaborate on SLAs and invoicing.

* Manage overall A/R trends by facility, payer, and other dimensions; coordinate with Managed Care for resolution.

* Collaborate with stakeholders to improve people, process, and technology across billing operations.

Qualifications

Education / Training

Bachelor's degree required; Master's degree preferred.

Experience

15+ years' demonstrated senior leadership in a large, complex multi-site health system Revenue Cycle or PFS function.

Skills, Knowledge & Abilities

* Data-driven decision-making; ability to conduct cost/benefit analyses and drive consensus among stakeholders.

* Excellent communication, relationship management, customer service, organizational and change leadership skills.

* Knowledge of provider operations and patient flow to diagnose revenue cycle cause-and-effect issues; understanding of A/R management and accounting principles.

* In-depth knowledge of payer payment methodologies, contracts, regulations (Medicare/Medicaid), coding (ICD, HCPCS/CPT), and physician billing.

* Demonstrated experience leading large-scale operational transformation initiatives that improve efficiency, quality, and financial outcomes.

* Proven ability to design and execute strategies that drive measurable improvements in patient financial services performance.

* High-level problem-solving skills, including ability to diagnose complex operational issues and implement sustainable solutions.

* Ability to innovate within legacy operational environments, introducing new models, technologies, and workflows that modernize PFS operations.

* Strong strategic thinking capabilities with ability to translate enterprise priorities into actionable plans for PFS functions.

Preferred Qualifications

* Experience overseeing third-party vendors (onshore/offshore) and managing SLAs.

* Proficiency with enterprise revenue cycle systems, dashboards, KPI management, and denial analytics.